49999 — Unlisted Px Abd Pertm&omn
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). UNLISTED PX ABD PERTM&OMN (CPT 49999) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/49999?code_type=CPT
MLA (9th ed.)
“UNLISTED PX ABD PERTM&OMN (CPT 49999) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/49999?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“UNLISTED PX ABD PERTM&OMN (CPT 49999) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/49999?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $965–$3,469 (25th–75th percentile) across 1,987 hospitals · 5,499 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 49999 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $0.67 | $4,795.00 | $4,795.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $0.67 | $4,795.00 | $4,795.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $0.67 | $4,795.00 | $4,795.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $0.67 | $4,795.00 | $4,795.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $0.79 | $4,795.00 | $4,795.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $0.79 | $4,795.00 | $4,795.00 | 2026-03-27 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $4,809.00 | $3,943.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $4,809.00 | $3,943.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $4,809.00 | $3,943.38 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $7,788.35 | $5,062.43 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $4,809.00 | $3,943.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $4,809.00 | $3,943.38 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $7,788.35 | $5,062.43 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $4,809.00 | $3,943.38 | 2025-11-26 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $1.14 | $4,795.00 | $4,795.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $1.14 | $4,795.00 | $4,795.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $1.14 | $4,795.00 | $4,795.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $1.14 | $4,795.00 | $4,795.00 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO SEDGWICK [100206] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO THE HEALTH PLAN [100176] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO GENEX CARE OF OHIO [100529] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC DOLLAR GENERAL CORP [100510] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC FRANK GATES [100541] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC BROADSPIRE [100540] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC KROGER CO [100512] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO ADVOCARE [100525] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC GALLAGHER BASSETT [10053] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO SHEAKLEY UNICARE [100127] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC COMPMANAGEMENT INC [10058] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC LEAR CORP [100513] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO CAREWORKS OF OHIO [100122] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC US POST OFFICE [100517] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC BUNCH & ASSOCIATES [100537] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO TRAVELERS INSURANCE [100548] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC COMP SERVICES [10056] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO CORVEL GROUP [100124] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO HUNTER CONSULTING [100546] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC AK STEEL ZANESVILLE [10055] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC OHIO BWC BLACK LUNG [100534] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC GENESIS HCS WORKERS COMP [10054] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO PROMEDICA MEDICAL MGMT [100531] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC OWEN BROCKWAY [100515] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO UNIVERSITY HOSPITALS COMPCARE [100532] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC 888 OHIO COMP LCHN [100535] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC SEDGWICK OF OHIO [100516] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC CAREWORKS CONSULTANT [10057] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO OCCUPATIONAL HEALTH LINK, INC [100521] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC PEPSI COLA [100539] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO GATES MCDONALD [100125] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | BWC PENDING ENABLECOMP [100544] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC CONSTITUTION STATE [10059] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO TRANSPORTATION CLAIMS [100547] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC ZANDEX [100519] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO WORKSTAR HEALTH SRV [100533] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC HELMSMAN MANAGEMENT SRV [100536] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | GENERIC WORKERS' COMP [10051] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC LONGABERGER [100514] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC US DEPARTMENT OF LABOR BLACK LUNG PROG [100542] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC AVIZENT WORKERS COMP [10052] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO AULTCOMP [100526] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO 3 HAB [100522] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO CONDUENT [100545] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO COMP ONE [100527] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO FRANK GATES MANAGED CARE [100528] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO MINUTE MEN OHIOCOMP [100524] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | SPOONER MEDICAL ADMINISTRATORS INC [100126] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC WALMART CLAIMS [100518] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC ESIS 3700 [100538] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO COMP MANAGEMENT HEALTH [100123] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL OutpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MAP [599] | $2.56 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL OutpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MAP [599] | $2.56 | — | — | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $4.00 | $10,557.45 | $4,222.98 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $4.00 | $10,557.45 | $4,222.98 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $4.00 | $10,557.45 | $4,222.98 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $4.00 | $10,557.45 | $4,222.98 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $4.00 | $10,557.45 | $4,222.98 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $4.00 | $10,557.45 | $4,222.98 | 2026-03-31 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | MEDICA MCARE ADVAN | MEDICA MCARE ADVAN | $4.56 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | UHC MCARE ADVAN | UHC MCARE ADVAN | $4.56 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | MEDICA MCARE ADVAN | MEDICA MCARE ADVAN | $4.56 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | UHC MCARE ADVAN | UHC MCARE ADVAN | $4.56 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | MEDICA MSHO MCARE | MEDICA MSHO MCARE | $4.79 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | MEDICA MN HEALTH CARE | MEDICA MN HEALTH CARE | $4.79 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | MEDICA MSHO MCARE | MEDICA MSHO MCARE | $4.79 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | MEDICA MN HEALTH CARE | MEDICA MN HEALTH CARE | $4.79 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Coordinated Care | Medicaid | $7.54 | $2,746.00 | $2,196.80 | 2026-03-26 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $7.58 | $27,057.22 | $21,645.78 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $7.58 | $27,057.22 | $21,645.78 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $8.09 | $27,057.22 | $21,645.78 | 2024-12-30 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | WELLMARK INDEM/PPO-ALL PLANS | WELLMARK INDEM/PPO-ALL PLANS | $9.36 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | WELLMARK INDEM/PPO-ALL PLANS | WELLMARK INDEM/PPO-ALL PLANS | $9.36 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | UHC ALL PAYER/OPTIONS PPO-ALL OTHER PLANS | UHC ALL PAYER/OPTIONS PPO-ALL OTHER PLANS | $9.83 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | UHC ALL PAYER/OPTIONS PPO-ALL OTHER PLANS | UHC ALL PAYER/OPTIONS PPO-ALL OTHER PLANS | $9.83 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | MEDICA COMM-ALL OTHER PLANS | MEDICA COMM-ALL OTHER PLANS | $10.20 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | MEDICA COMM-ALL OTHER PLANS | MEDICA COMM-ALL OTHER PLANS | $10.20 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | AVERA/DAKOTACARE-ALL PLANS | AVERA/DAKOTACARE-ALL PLANS | $11.64 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $11.64 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | AVERA/DAKOTACARE-ALL PLANS | AVERA/DAKOTACARE-ALL PLANS | $11.64 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $11.64 | $12.00 | $12.00 | 2026-05-12 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $12.12 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | MASS BH PARTNERSHIP [70098] | CHA HB MBHP SOMERVILLE | $12.26 | $5,352.57 | $5,352.57 | 2026-03-20 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $12.33 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $12.35 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $12.35 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $12.35 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $12.35 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $12.35 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $12.35 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $12.35 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $12.35 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $12.35 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $12.35 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $12.35 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $12.35 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $12.35 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $12.35 | $42,992.29 | $8,598.46 | 2026-03-26 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $13.82 | $7,676.00 | $906.34 | 2024-12-31 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $14.36 | $2,490.00 | $672.30 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $14.36 | $2,490.00 | $672.30 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $14.36 | $2,490.00 | $672.30 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $14.36 | $2,490.00 | $672.30 | 2025-01-14 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $14.36 | $2,490.00 | $672.30 | 2024-12-30 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $15.15 | $5,228.00 | $3,136.80 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $15.15 | — | — | 2026-03-06 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $15.54 | $2,366.00 | $638.82 | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $15.54 | $2,366.00 | $638.82 | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $15.54 | $2,366.00 | $638.82 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $17.33 | $38.50 | $38.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $17.33 | $38.50 | $38.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $17.33 | $38.50 | $38.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $17.33 | $38.50 | $38.50 | 2026-03-27 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $18.40 | $5,228.00 | $3,136.80 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.59 | $4,579.00 | $2,747.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.59 | $135.00 | $81.00 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.59 | $135.00 | $81.00 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $18.59 | $204.00 | $122.40 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $18.59 | $204.00 | $122.40 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | $160.00 | $96.00 | 2026-03-07 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | $10,519.00 | $6,311.40 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | $127.00 | $76.20 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $18.77 | $5,404.00 | $3,242.40 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | $127.00 | $76.20 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | $160.00 | $96.00 | 2026-03-07 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | $10,519.00 | $6,311.40 | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $18.92 | $149.00 | $89.40 | 2026-03-06 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | BCBS - MA [10001] | CHA HB BCBS INDEMNITY | $19.63 | $5,352.57 | $5,352.57 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | BCBS - OUT OF STATE [10002] | CHA HB BCBS HMO BLUE | $19.63 | $5,352.57 | $5,352.57 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | BCBS - OUT OF STATE [10002] | CHA HB BCBS INDEMNITY | $19.63 | $5,352.57 | $5,352.57 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | BCBS - MA [10001] | CHA HB BCBS PPO | $19.63 | $5,352.57 | $5,352.57 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | BCBS - OUT OF STATE [10002] | CHA HB BCBS PPO | $19.63 | $5,352.57 | $5,352.57 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | BCBS - MA [10001] | CHA HB BCBS HMO BLUE | $19.63 | $5,352.57 | $5,352.57 | 2026-03-20 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Upmc | All Commercial Plans | $21.97 | — | — | 2026-04-01 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | CHIP/Medicaid | $22.86 | $127.00 | $76.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | CHIP/Medicaid | $22.86 | $127.00 | $76.20 | 2026-03-06 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $24.31 | — | — | 2026-04-14 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $25.00 | $2,541.00 | $482.79 | 2026-01-31 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | Commercial | $26.00 | $135.00 | $81.00 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | Commercial | $26.00 | $135.00 | $81.00 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | UPMC Health Plan | Commercial | $26.21 | $160.00 | $96.00 | 2026-03-07 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.